Please login, sign up for a 14 day trial, or subscribe below.Classification scheme for patients with atrial fibrillation (AF).Vital signs (particularly heart rate, blood pressure, respiratory rate, and oxygen saturation).Atrial fibrillation and heart failure due to reduced versus preserved ejection fraction: a systematic review and meta-analysis of death and adverse outcomes.
Changes in the interstitium are primarily manifested by the deposition of collagen fibers around cardiomyocytes.AV node ablation and pacemaker implantation after withdrawal of effective rate-control medications for chronic atrial fibrillation: effect on quality of life and exercise performance.This booklet is for your information as you have been prescribed apixaban for the prevention of stroke in non-valvular atrial.Benefits and risks of long-term amiodarone therapy for persistent atrial fibrillation: a meta-analysis.
Risk of bleeding with single, dual, or triple therapy with warfarin, aspirin, and clopidogrel in patients with atrial fibrillation.The use of oral anticoagulation in patients with atrial fibrillation at moderate or high risk of stroke, estimated by established criteria, improves outcomes.To estimate pulmonary systolic pressure (pulmonary hypertension).Simple risk model predicts incidence of atrial fibrillation in a racially and geographically diverse population: the CHARGE-AF consortium.
Atrial fibrillation is the most common arrhythmia in clinical practice, affecting around 33 million people worldwide.Effects of CYP2C19 genotype on outcomes of clopidogrel treatment.Medical therapies aimed at rhythm control offered no survival advantage over rate control and anticoagulation, according to the Atrial Fibrillation Follow-up Investigation of Rhythm Management (AFFIRM) trial.
Persistent AF may be either the first presentation of AF or the result of recurrent episodes of paroxysmal AF.Atrioventricular node modification with placement of a permanent pacemaker (invasive procedure indicated in patients when other rate and rhythm control alternatives have been exhausted).This is because, in these situations, AF is thought to be less likely to recur once the precipitating condition has been treated adequately and has resolved.Reduced doses of direct thrombin or factor Xa inhibitors may be considered (eg, dabigatran, rivaroxaban, apixaban), but safety and efficacy have not been established.Another observed morphologic feature related to AF is the presence of inflammatory cells in the atrial myocardium.Definitions of non-valvular atrial fibrillation as exclusion criteria in phase II and III trials with the new anticoagulants in atrial fibrillation.Mortality and rate of stroke or embolism in atrial fibrillation during long-term follow-up in the Embolism in Left Atrial Thrombi (ELAT) Study.
Impact of lesion sets on mid-term results of surgical ablation procedure for atrial fibrillation.Left atrial size and risk of major cardiovascular events during antihypertensive treatment: losartan intervention for endpoint reduction in hypertension trial.
Enalapril effects on atrial remodeling and atrial fibrillation in experimental congestive heart failure.Cardioversion of paroxysmal atrial fibrillation in the emergency department.
The definition of lone AF remains controversial, but it generally refers to paroxysmal, persistent, or permanent AF in younger patients (.Anticoagulation in Atrial Fibrillation: To Bridge or Not to Bridge.Percutaneous Left Atrial Appendage Closure: Is there a Role in Valvular Atrial Fibrillation Chetan Huded, Amar Krishnaswamy, Samir Kapadia Department of.Assessment of precipitating factors (eg, exertion, sleep, caffeine, alcohol use).Impaired contractility results from local changes in cell physiology and also from structural remodeling of atrial myocytes (loss of gap junctions).
No antithrombotic therapy, anticoagulant therapy, or aspirin therapy may be considered.Frequency of toxicity with chemical conversion of atrial fibrillation with dofetilide.Cardiac muscle in the pulmonary veins appears to have active electrical properties that are similar, but not identical, to those of atrial myocytes.However, one study of patients 65 years or older with recently diagnosed AF found warfarin use played no part in the increased risk of stroke among female patients.
Antiarrhythmic drug algorithm for the medical management of sinus rhythm in patients with atrial fibrillation.Medications (flecainide, propafenone, dofetilide, amiodarone, sotalol).The study addressed whether rate control and anticoagulation are sufficient goals for asymptomatic, elderly patients.Prospective randomized evaluation of the Watchman Left Atrial Appendage Closure device in patients with atrial fibrillation versus long-term warfarin therapy: the PREVAIL trial.
To evaluate for atrial thrombus (particularly in the left atrial appendage).A comprehensive net clinical benefit analysis for warfarin, aspirin, or no therapy.Moderate-risk factors: Age 65-74 years, female sex, hypertension, diabetes mellitus, heart failure, arterial disease (prior myocardial infarction, peripheral arterial disease, aortic plaque).Persistent AF: Episodes of AF that last more than 7 days and may require either pharmacologic or electrical intervention to terminate.Changes at the level of atrial myocytes include the loss of contractile structures and expression of fetal-like proteins, and accumulation of glycogen in the atrial interstitium.Circumferential radiofrequency ablation of pulmonary vein ostia: a new anatomic approach for curing atrial fibrillation.